| NPI | 1891059622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP121315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 670751) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2016-04-19 |